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NPI Code Detail

MEDICARE: LITA WANG

MEDICARE:   LITA  WANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist062359NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366990525
Entity Type Code : Individual
Provider Name (Legal Business Name) : LITA WANG
Provider Business Mailing Address
First Line : 582 ROCKAWAY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-5625
Country : US
Telephone Number : 718-342-3446
Fax Number : 718-342-3448
Provider Business Practice Location Address
First Line : 582 ROCKAWAY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-5625
Country : US
Telephone Number : 718-342-3446
Fax Number : 718-342-3448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2016
Last Update Date : 09/28/2016

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Directions to “ LITA WANG ” Practice Location

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